Individual provider Active NPI

Ludonna K Stone, CRNA, MHS

  • Certified Registered Nurse Anesthetist
  • Laramie, WY
National Provider Identifier
1063455947
Registry record updated Oct 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
21072.183 Issued in WY
Practice address
3508 Reynolds St
Laramie, WY 82072-5059
Phone
(307) 745-8529
Fax
(307) 745-8529
NPI assigned
Jun 14, 2006
Last updated
Oct 25, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 21072.183 WY Primary

Addresses

Primary practice location

3508 Reynolds St
Laramie, WY 82072-5059

Mailing address

3508 Reynolds St
Laramie, WY 82072-5059
Phone (307) 745-8529

Other identifiers 3

IdentifierTypeStateIssuer
312322OtherWYBLUE CROSS BLUE SHIELD
10024962200MedicaidNE
117576900MedicaidWY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171215000116 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 4981794039 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
21072.183WYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Mid-Continent Anesthesiology Chartered CurrentSince Feb 1, 2018 Accepting new patients
Kansas Spine Anesthesia Corporation PA Nurse Anesthetist, Certified Registered CurrentSince Jul 22, 2022 Accepting new patients
Kansas Endoscopy LLC PastSince Feb 1, 2019 Accepting new patients

Locations

2818 N Greenwich Rd
Wichita, KS 67226
Phone (316) 685-2207

3121 N Webb Rd
Ste 100
Wichita, KS 67226

3121 N Webb Rd
Ste 101
Wichita, KS 67226
Phone (316) 261-3130

3223 N Webb Rd
Ste 5
Wichita, KS 67226
Phone (316) 462-5000

3333 N Webb Rd
Wichita, KS 67226
Phone (316) 462-5000

4013 N Ridge Rd
Ste 100
Wichita, KS 67205
Phone (316) 722-8015

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

7550 W Village Cir
Ste B
Wichita, KS 67205
Phone (316) 838-8388

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193270400000",
    "number": "1063455947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 REYNOLDS ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725059",
            "telephone_number": "307-745-8529",
            "fax_number": "307-745-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 REYNOLDS ST",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820725059",
            "telephone_number": "307-745-8529",
            "fax_number": "307-745-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STONE",
        "first_name": "LUDONNA",
        "middle_name": "K",
        "credential": "CRNA, MHS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2007-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "WY",
            "license": "21072.183",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "312322",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10024962200",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117576900",
            "state": "WY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laramie, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.